In a positive culture, the ethos of care remains person-centred, relationship-centred, evidence-based and continually effective within a changing health and social care context.
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A ‘complete community’ is consistent with the most positive experiences of older people and ‘best care’.
‘With the help of staff I have begun to do things that I didn’t think I could. I help the staff to set the tables and wash dishes, things like that. And I enjoy it. I am not too great now but I am keeping up as best I can.’
Promoting a positive culture
Creating positive culture requires:
- recognition of the complex and multidimensional nature of life and work in care homes;
- promotion of enablement and partnership;
- person-centred and relationship-centred care through biographical and developmental approaches;
- staff working as an effective team with mutual appreciation and some blurring of roles;
- relatives to be integrated within the effective team; and
- close links maintained with the local community.
Leadership, management and expertise
Effective leadership, management and the availability of expert advice is paramount in the creation and maintainance of a positive culture.
Resources on this theme
Promoting positive culture (PDF, 75k)
This document contains a short summary of a research review undertaken as part of the My Home Life programme. The full literature review, including research references, further tools and examples of ‘best practice’, is available in Resources.


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